Registered Nurse, Pre-op/PACU Per Diem

City of Hope•Goodyear, AZ

About The Position

City of Hope is hiring a per diem Registered Nurse for pre-operative and post-anesthesia care. The nurse assesses, plans, implements, evaluates, and documents care for medical/surgical, ambulatory care, and same-day surgery patients from pre-procedure through Phase 1 recovery and discharge. The role includes recovering patients from the operating room, endoscopy, interventional radiology, and radiation oncology, and administering and monitoring sedation and analgesia according to physician orders and hospital protocols. The nurse provides care for patients with complex needs, including hemodynamic compromise and mechanical ventilation. Responsibilities include monitoring neurological, cardiac, and respiratory status; recognizing changes in cardiac rhythms and other monitor trends; treating unplanned hypothermia; and transferring patients from the operating room to ICU or medical-surgical units. The role also involves complex IV therapy, invasive and noninvasive monitoring, medication administration, specimen collection, and care of patients with a range of lines, tubes, and devices. City of Hope is an equal opportunity employer. Pay is based on work experience, qualifications, and work location. The organization advises applicants to apply through its official website or trusted partner platforms and notes that it will not request payment during hiring or sensitive financial information before a formal offer.

Requirements

One year of experience in pre-op and PACU.
Associate Degree in Nursing or equivalent.
Arizona Registered Nurse license or Registered Nurse license from a Compact State.
Basic Life Support (BLS) certification from an approved American Heart Association training site, American Safety & Health Institute, or Red Cross; certification is required upon hire. If an existing certification does not meet the guidelines, the employee has 30 days from hire to complete an onsite initial BLS course; renewal is required every two years.
Advanced Cardiovascular Life Support (ACLS) certification. Employees have 30 days from hire to obtain American Heart Association ACLS certification, which must be renewed every two years. Employees may not independently provide ACLS for patients until they obtain an AHA ACLS card.

Responsibilities

Administer and monitor sedation and analgesia according to physician orders and hospital protocols.
Assess pre- and postoperative patients’ neurological, cardiac, and respiratory status.
Assess, plan, implement, evaluate, and document care for medical/surgical, ambulatory care, and same-day surgery patients from pre-procedure through Phase 1 recovery and discharge.
Recover patients from the operating room, endoscopy, interventional radiology, and radiation oncology.
Transfer patients from the operating room to ICU or medical-surgical units.
Assess and treat unplanned hypothermia.
Operate and interpret cardiac and other invasive and noninvasive monitors, recognize normal and abnormal rhythms and trends, and initiate appropriate interventions.
Care for patients with complex needs, including hemodynamic compromise and mechanical ventilation.
Initiate and maintain complex IV therapy, including thrombolytic administration, vasoactive medications, and care involving central IV catheters, dialysis catheters, and arterial lines.
Safely use less invasive life-support modalities, including BiPAP, ETCO2, arterial pressure-based CO/CI and SVO2 monitoring, and core temperature monitors.
Care for patients with IV lines, arterial lines, central lines, ports, chest tubes, pleural catheters, tracheostomy tubes, and endotracheal tubes.
Maintain and care for patients with ostomies, ileostomies, and urostomies.
Administer medications by all routes using the six rights and medication bar scanner, and monitor patients for side effects.
Collect blood specimens and blood cultures.
Care for, assess, and monitor patients with patient-controlled analgesia (PCA) and epidural catheters.